Stacy Anne Black, is a
Marriage & Family Therapist based in Mt. Vernon, Washington. Stacy Anne Black is licensed to practice in Washington (license number MG60835827) and her current practice location is
2301 Old Hwy 99, Mt. Vernon, Washington. She can be reached at her office (for appointments etc.) via phone at
(360) 398-5444.
NPI number for Stacy Anne Black is 1104320480 and her current mailing address is 18092 Montborne Rd, Mount Vernon, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104320480.
Healthcare Provider's Profile
Full Name | Stacy Anne Black |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 2301 Old Hwy 99, Mt. Vernon, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1104320480
- Provider Enumeration Date: 03/21/2018
- Last Update Date: 03/21/2018
Medical Identifiers
Medical identifiers for Stacy Anne Black such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104320480 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | MG60835827 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stacy Anne Black is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Stacy Anne Black, 18092 Montborne Rd, Mount Vernon, WA 98274-8154 Ph: (618) 979-0626 | Stacy Anne Black, 2301 Old Hwy 99, Mt. Vernon, WA 98273 Ph: (360) 398-5444 |
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